Breakaway Functional Medicine
NPI 1780528307 · Nurse Practitioner · Bismarck, ND
Breakaway Functional Medicine is a Nurse Practitioner organization in Bismarck, ND (NPI 1780528307).
Provider details
- NPI number
- 1780528307
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Austin Mill, Owner(480) 262-0249
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Health & Wellness Coach171400000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-04-15
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Frequently asked questions
- What is Breakaway Functional Medicine's NPI number?
- Breakaway Functional Medicine's National Provider Identifier (NPI) is 1780528307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Breakaway Functional Medicine?
- Breakaway Functional Medicine is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Breakaway Functional Medicine located?
- Breakaway Functional Medicine's practice location on file with NPPES is 319 S Mandan St, Bismarck, ND 58504-5558.
- What is Breakaway Functional Medicine's phone number?
- The practice phone number listed in the NPPES registry for Breakaway Functional Medicine is (480) 262-0249.
- Who is the authorized official for Breakaway Functional Medicine?
- The authorized official listed on Breakaway Functional Medicine's NPPES record is Austin Mill, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Breakaway Functional Medicine's NPI active?
- Yes — Breakaway Functional Medicine's NPI (1780528307) is active in the NPPES registry as of the last update on 2026-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.